Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.11 / $9,639.00 / $20,509.00	Facility		$859.11	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,055.00 / $23,736.18	Facility		$4,597.00	$11,055.00	$23,736.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $650.78 / $947.74 / $1,137.29	Professional		$650.78	$947.74	$1,137.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.47 / $1,120.08 / $2,006.70	Professional		$854.47	$1,120.08	$2,006.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,180.64 / $16,316.96	Facility		$55.00	$13,180.64	$16,316.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.20 / $403.43 / $425.63	Facility	AS	$172.20	$403.43	$425.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.06 / $1,188.09 / $1,955.56	Facility		$896.06	$1,188.09	$1,955.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.00 / $287.00 / $287.00	Facility	AS	$287.00	$287.00	$287.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00